scholarly journals Sociodemographic characteristics of the patients of Tonsillitis attended in OPD of a district level Hospital

2020 ◽  
Vol 23 (2) ◽  
pp. 180-186
Author(s):  
Md Sirajul Islam Mahfuz ◽  
Md Ahmedul Kabir
Keyword(s):  
Rural Area ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
District Level ◽  
Sociodemographic Characteristics ◽  
Age Group ◽  
Acute Tonsillitis ◽  
Cross Sectional ◽  
Female Ratio ◽  
Female Male Female

Aim: To find out the tonsillitis patients and also find out its sociodemographic characteristics in district level of Bangladesh. Method: This was a prospective cross sectional study, which was carried in out patients of tonsillitis attended in OPD of 250 Bedded General Hospital, Gopalganj. All the patients of acute tonsillitis, chronic tonsillitis and adenoid hypertrophy were selected from OPD irrespective of sex during the period of July 2015 to June 2016. Age ranges from 0-90 years and person residents of Gopalganj and adjacent districts. Result: In this study 45.54% were male and 54.46% were female. Male female ratio 1:1.2.Majority of patients were age group 0-15 years (55.97%) Mean age of patient 45 years. Maximum family had monthly income TK 10,000 to 20,000 and maximum patients were dependent (30%) 5-6 family members were highest group, 60% patients lived in katcha house, 75% lived in rural area 35% patients used to bath in pond and majority of patients primary and JSC qualification. The majority of signs and symptoms were sore throat (100%), red, swollen tonsil (26%); white pus filled spots on the tonsil (38%); swollen lymph node in neck (60%) and bad breath (halitosis) (38%). Conclusion: Tonsillitis is still high in rural area of our country and commonly found in younger age group. Thus improvement of related socioeconomic factors, health awareness campaign, improved health education and early accessibility can reduce the incidence of disease. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 180-186

scholarly journals Study on factors affecting fertility of Bangladeshi women

2019 ◽  
Vol 1 (Number 2) ◽  
pp. 6-10
Author(s):  
Monowar Ahmad Tarafdar ◽  
Nadia Begum ◽  
Shila Rani Das ◽  
Sultana Begum ◽  
Mehruba Afrin ◽  
...  
Keyword(s):  
Middle Class ◽  
Rural Area ◽  
Age Groups ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Age Group ◽  
Cross Sectional ◽  
Lower Middle Class ◽  
Factors Affecting

This is a cross sectional study conducted among Currently Married Women of Reproductive Age (CMWRA) with a sample size of 476 selected purposively using a semi-structured questionnaire in 2018 at Moulvibazar Sadar to explore the factors affecting fertility. The result shows that 55.26% respondents were within 35 years age whereas only 4.28% from age group 46-49 years age group, 33% of the respondents got married at <16 years of age and 18.70% were illiterate, 47.90% had primary education. It is evident that 76% of the respondents were from rural area; 88% were Muslims, 29.41% from lower middle class followed by upper middle class (25.42%) and poorest comprised only 7.56%. The result explored that 73.91% of the respondents were from age group 41-45 got married before 16 years of age followed by 36-40 years (68.24%), 46-49 years (66%), 20-25 and 26-30 years age groups 52.38% and 52.75% respectively; 73.33% of respondents from rural area got married at <16 years of age, 68.42% of the Muslim at <16 years. The study explored that 96.39% from poorer section and 83.33% from poorest section got married at <16 years of age. Current study revealed that 82.91% of the respondents having secondary education got married before 16 years of age followed by illiterate (82.02%). It is explored that the age at marriage is statistically associated with residence, education, wealth index and religion (p= 0.001, 0.03, 0.001, 0.001 respectively). We conclude that the sociodemographic condition contributes mostly to fertility differentials in Bangladesh.

scholarly journals Study of psychiatric morbidity of patients attending free mental health check up camp, Simara, Bara district of Nepal

2013 ◽  
Vol 2 (1) ◽  
pp. 30-34
Author(s):  
CP Sedain
Keyword(s):  
Mental Health ◽  
Depressive Disorder ◽  
Demographic Data ◽  
Psychiatric Morbidity ◽  
Cross Sectional Study ◽  
Health Clinic ◽  
Age Group ◽  
Cross Sectional ◽  
Female Ratio ◽  
Community Mental Health Clinics

Introduction: Maryknoll Nepal has been running community mental health clinics different part of the country. The aim of the study was to find out psychiatric morbidity of patients attending Maryknoll free check up clinic Simara, Bara district of Nepal. Methods: A prospective cross-sectional study comprised of all consecutive patients attending Maryknoll free check up clinic Simara, Bara district, Nepal. All the patients attending the free clinics were taken as cases. The study was conducted in January 2009. Demographic data and disease profile of 87 patients attending the clinic were analyzed. The ratios and proportions were used for statistical analysis. Results: Data from Simara free mental health clinic shows that the male to female ratio was 0.55:0.44.The age group 30-39(N-25, 28.74%) followed by age group 20-29 (N-19, 21.84%) was the commonest. The farmer were (N-49, 56.31 %) the most common visitor. The highest number of cases were depressive disorder (N-16, 18.93 %) followed by mania/BPAD (N-14, 16.09 %) and Schizophrenia (N-12, 13.73 %). Conclusion: The commonest incidence of psychiatric illness attending the free clinic is depressive disorder and mania/BPAD. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8572 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 30-34

scholarly journals Role of Multidetector Computerised Tomography in Evaluation of Proptosis

2019 ◽  
Vol 9 (2) ◽  
pp. 24-31
Author(s):  
Elina Shrestha ◽  
Narayan Bikram Thapa ◽  
Shankar Bahadur Singh Rajbhandari
Keyword(s):  
Predictive Value ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Computerised Tomography ◽  
Cross Sectional ◽  
Female Ratio ◽  
Male Female Ratio ◽  
One Year ◽  
Female Male Female

Introduction: Proptosis is defined as bulging of eye anteriorly out of the orbit. Our main objective was to analyze the pattern of computerised tomographic findings in evaluation of proptosis. Computerised tomography (CT) is noninvasive, easily accessible, affordable and reliable imaging which helps in early diagnosis and prompt treatment. Methods: A descriptive cross sectional study of total 58 patients presenting with proptosis referred to our department of radiology for computerised tomography evaluation during one year period were undertaken into study. The clinical information provided by ophthalmologist also helped our study to derive into conclusion. SPSS version 20 software was used for statistical data analysis. Results: Out of 58 patients, the most common cause of proptosis was neoplasm constituting of 25 cases (43.1%). Retinoblastoma was the commonest orbital tumor. Out of remaining cases, 15 (25.8%) were infective, 14 (24.1%) were inflammatory, two (3.44%) were traumatic and remaining two cases (3.44%) had no definitive cause for proptosis. Bilateral proptosis was commonly associated with thyroid ophthalmopathy. Among the subjects 32 were male, 26 were female. Male: Female ratio was 1:1.23. Age group was ranging from 1 month to 73 years.Mean age was 26.4 ± 22 years. Conclusions: Computerised tomography has an important role in distinguishing the different types of lesions based on their characteristics, location and extension prior to undertaking definitive surgical and medical treatment. Overall accuracy of CT in our study was 81%, sensitivity of 82.6%, specificity of 80.6%, positive predictive value of 76% and negative predictive value of 86.2%.

scholarly journals Dermatophytes in Skin, Nail and Hair among the Patients Attending Out Patient Department

2019 ◽  
Vol 16 (41) ◽  
pp. 434-437 ◽  
Author(s):  
Beena Jha ◽  
Sabina Bhattarai ◽  
Jyotshna Sapkota ◽  
Manisha Sharma ◽  
Chandra Prakash Bhatt
Keyword(s):  
Laboratory Diagnosis ◽  
Cross Sectional Study ◽  
Age Group ◽  
Aetiological Agent ◽  
Cross Sectional ◽  
Female Ratio ◽  
Direct Microscopy ◽  
Male Predominance ◽  
Medical College ◽  
Patient Department

Background: Dermatophytosis are the most common types of cutaneous fungal infection seen in human and animals affecting skin, hair and nails caused by dermatophytes. The diagnosis of dermatophytes is based on the clinical observation and laboratory diagnosis by direct microscopic examination and fungal cultures. The present study is undertaken to isolate different type of dermatophytes causing fungal infection.Methods: A prospective cross-sectional study design was used in a total of 90 clinically suspected cases of dermatophytic infection attending the out patient department of Kathmandu Medical College and Teaching hospital (KMCTH). Skin scraping, hair and nail samples were collected from the patients and were processed by direct microscopy and culture using standard protocol. Dermatophytes were identified based on the microscopic arrangement of microconidia and macroconidia.Results: Dermatophytosis was more common in the age group of 21-40 years and was more predominant among male with male to female ratio of 1.7: 1. Among the total clinically suspected cases of dermatophytosis, 53 were positive in direct microscopy and only a total of 20 were positive by culture. Most common clinical type observed in our study was Tinea corporis(25%) followed by Tinea cruris. Trichophyton rubrum(50%) was the commonest aetiological agent in majority of clinical types followed by Trychophyton mentagrophytes(35%). Conclusions: The study highlighted T. corporis followed by T. cruris and T. unguim as the most common clinical pattern of dermatophytosis with a male predominance and 21-40 years being the most affected age group. T. rubram was the most common aetiological agent causing dermatophytosis.Keywords: Dermatophytes; dermatophytosis; epidermophyton; tinea; trychophyton.

scholarly journals Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

2020 ◽  
Vol 7 (8) ◽  
pp. 2494
Author(s):  
Praffula V. Mahakalkar ◽  
Ganesh Swami ◽  
Halnikar Chandrashekhar S. ◽  
Anant A. Takalkar
Keyword(s):  
Anal Fistula ◽  
Cross Sectional Study ◽  
Internal Opening ◽  
Age Group ◽  
Cross Sectional ◽  
Female Ratio ◽  
Fistula In Ano ◽  
Surgical Department ◽  
Male Predominance ◽  
External Opening

Background: Anal fistulas are one of the commonest causes for a persistent discharge seropurulent in nature that irritates the skin in the neighbourhood and leads to discomfort. Fistula-in-ano is seen quite frequently in perirectal perianal suppuration. The objective of this study to study the clinical profile and diagnosis of anal fistula at surgical OPD of VDGIMS.Methods: The present cross-sectional observational study was carried out in patients with fistula-in-ano admitted at surgical department of VDGIMS, Latur during the period of 2017-19 in 50 diagnosed patients. Data was analysed by using SPSS 24.0 version IBM USA.Results: Majority of the patients with anal fistula were from 41-50 years age group i.e. 15 (30%) and males were predominantly affected 40 (80%) compared to females i.e. 10 (20%). Male to female ratio was 4:1. Perianal discomfort was the commonest symptom in all patients i.e. 100%. It is followed by perianal discharge complained by 54% and perianal itching in 38% cases. The anterior position of external opening is found to be significant (p<0.05). Fistulogram showed external opening in all patients i.e. 50 cases whereas internal opening in 46 (92%) cases. Findings of MRI revealed that anal fistula was intra sphincteric in 28 cases i.e. 56%, extra sphincteric in 2 cases i.e. 4% and trans sphincteric in 20 cases i.e. 40%.Conclusions: Commonest age group affected in our study was 40-50 years with male predominance. Perianal discomfort and discharge were the commonest symptom. E. coli was the predominant organism isolated. Fistulogram and MRI is useful in detecting the aetiology of fistula in ano.

scholarly journals Epidemiology, Clinico-Pathological Characteristics, and Comorbidities of SARS-CoV-2 infected Pakistani Patients

2021 ◽  
Author(s):  
Saadia Omer ◽  
Muhammad Bilal Sarwar ◽  
Muhammad Roman ◽  
Muhammad Usman ◽  
Muhammad Alam ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Response To Treatment ◽  
Future Research ◽  
Cross Sectional ◽  
Icu Patients ◽  
Female Ratio ◽  
Source Of Infection ◽  
Control And Prevention ◽  
Complete Blood Counts

AbstractSARS-CoV-2 is a causative agent for COVI-19 disease, initially reported from Wuhan, China. Infected Patients experienced mild to severe symptoms, resulting in several fatalities due to a weak understanding of its pathogenesis, which is the same even to date. This cross-sectional study has been designed on four hundred and fifty-two symptomatic, mild-to-moderate, and severe/critical patients to understand the epidemiology and clinical characteristics of COVID-19 patients with their comorbidities and response to treatment. The mean age of studied patients was (58±14.42) years, and the overall male to female ratio was 61.7 to 38.2%, respectively. 27.3% of the patients had a history of exposure, 11.9% travel history, while for 60% of patients, the source of infection was unknown. The most prevalent signs and symptoms in ICU patients were dry coughs, myalgias, shortness of breath, gastrointestinal discomfort, and abnormal Chest X-ray (p<0.001), along with the high percentage of hypertension (p=0.007) and COPD (p=0.029) as leading comorbidities. Complete Blood Counts indicators were significantly increased in severe patients, while the Coagulation Profile and D-dimer values were significantly higher in mild-to-moderate (non-ICU) patients (p < 0.001). Serum Creatinine (1.22 umole L-1; p = 0.016) and LDH (619 umol L-1; p < 0.001) indicators were significantly high in non-ICU patients while, raised values of Total Bilirubin (0.91 umol L-1; p = 0.054), CRP (84.68 mg L-1; p = 0.001) and Ferritin (996.81 mg L-1; p < 0.001) were found in ICU patients. Drug Dexamethasone was the leading prescribed and administrated medicine to the COVID-19 patients, followed by Remdesivir, Meropenem, Heparin, and Tocilizumab, respectively. A characteristic pattern of Ground glass opacities (GGO), consolidation, and interlobular septal thickening were prominent in severely infected patients. These findings could be used for future research, control, and prevention of SARS-CoV-2 infected patients.

scholarly journals A comparative assessment of Rapid Diagnosis Test (RDT) versus microscopy for malaria diagnosis in health care facilities

2020 ◽  
Author(s):  
Theresia Njuabe Metoh ◽  
Chi Tchampo Fru ◽  
Philip FonGah ◽  
Xiaonong Zhou
Keyword(s):  
Delayed Diagnosis ◽  
Malaria Diagnosis ◽  
High Specificity ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Age Group ◽  
Cross Sectional ◽  
Predictive Values ◽  
Disease Spectrum

Abstract Background: Management of malaria requires prompt diagnosis of malaria by microscopy, Rapid Diagnostic Tests (RDTs), or other available tools. The objective of this study was to determine the best approach on malaria diagnosis in detection of malaria parasite in the Northwest region, of Cameroon among different population groups. Materials and method: The cross sectional study was conducted on 60 febrile patients who were directed to the laboratory department for blood screening at the Bamenda Regional Hospital after showing signs and symptoms of malaria infection. Blood sample were collected aseptically and dispensed into an EDTA container where RDTs and microscopic examination were performed to assess the presence of malaria parasites. Results from the rapid diagnostic kits were analyzed and compared to those obtained by general microscopy. Results : Of the 60 samples enrolled 37 (61.7%) were found to be positive with blood films examination while in rapid diagnostic test 27 (45%) were positive. Based on frequency of infection by age 20-35 years had 13 (35.1%) as the most vulnerable group, followed by 0 -5 year with 11 (29.7%), 6-19 had 6 (16.2%) while age group of 36-59 had 5 (16.0%) and lastly the age group of 60 and above had least value of 2 (5.4%). The prevalence of malaria obtained through microscopy (62%) was significantly higher than in RDT (45%). Considering microscopy as the gold standard, RDT exhibited high specificity (100%) and sensitivity (73%) with positive predictive and negative predictive values of 100% and 70%, respectively. The sensitivity of RDT increased significantly with increase in P. falciparum parasitaemia which was the plasmodium specie detected in all positive cases. Conclusion: The study, therefore, highlights that the routine microscopy test demonstrated a superior sensitivity compared to RDT method of malaria diagnosis, however, RDT could be a useful tool in individuals suspected to show high degree of disease spectrum for quick intervention in order to avert danger associated with delayed diagnosis.

scholarly journals Knowledge of gestational diabetes mellitus among antenatal women in rural area of Maharashtra

2019 ◽  
Vol 6 (10) ◽  
pp. 4443
Author(s):  
Udaykiran U. Bhalge ◽  
Mukund D. Bhise ◽  
Anant A. Takalkar ◽  
Bhaskar S. Gaikwad
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
First Time ◽  
In Pregnancy

Background: Gestational diabetes mellitus (GDM) is a growing epidemiological problem. GDM is defined as glucose intolerance during pregnancy. Treatment of GDM is important to avoid maternal and fetal complication. The objective of this study is to assess the knowledge about gestational diabetes mellitus among antenatal mothers from rural area.Methods: A descriptive cross-sectional study was done among 193 antenatal mothers in rural hospital, Murud. A study was done between July 2018 to August 2018. A pretested questionnaire was used to assess knowledge about GDM among all antenatal mothers.Results: Among the participants, 48.19% were in the age group 21-25 years and 90.15% antenatal mothers were literate. 80% heard about diabetes mellitus and 38% mothers knows that diabetes can occur first time in pregnancy. Only 28.50% mothers heard about GDM from different source of information.Conclusions: The study shows average knowledge about gestational diabetes mellitus among antenatal mother.

scholarly journals Socio-demographic co-relates of depression among housewives in rural area of district Ludhiana

2019 ◽  
Vol 6 (5) ◽  
pp. 2147
Author(s):  
Urvashi . ◽  
Sangeeta Girdhar ◽  
Anurag Chaudhary ◽  
Sanjay Gupta ◽  
Shamim Monga
Keyword(s):  
Rural Area ◽  
Life Stress ◽  
Health Care Services ◽  
Economic Status ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Cross Sectional ◽  
Patient Health ◽  
Few Data

Background: Depression is the most common psychiatric disorder in general practice. It is much more common among women than men, with female/male ratio roughly 2:1. In today’s hectic life, stress is increasing in housewives. Very few data is available on depression among housewives in India. So the present study is aimed to assess the prevalence of depression and study its epidemiological co-relates among housewives aged 18-59 years in rural area of district Ludhiana. Objectives were to assess depression among housewives aged 18-59 years in a rural area and determine the association of depression with socio-demographic co-relates.Methods: This study is a community based cross-sectional study carried out in the field practice area of Department of Community Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab. 300 subjects were selected by systematic random sampling. Assessment of depression among the housewives was done by using Patient Health Questionnare-9 (PHQ-9).Results: In the present study, 43% of the subjects were found to have depression. Mean age of subjects with depression was found to be 42.4 (±10.3) years. There was an increasing trend of depression among housewives with increasing age (p=0.000). Inverse relationship was found between level of education and depression (p=0.000). Lower socio-economic status was found to be associated with higher rates of depression (p=0.039).Conclusions: Depression was seen to be on higher side among housewives in rural area of Ludhiana. Housewives should be educated about warning signs and symptoms of depression and motivated to avail the primary health care services.

scholarly journals Ocular Manifestations of Leprosy Patients on Multidrug Therapy in a Teaching Hospital of South Karnataka

2021 ◽  
Vol 8 (21) ◽  
pp. 1706-1710
Author(s):  
Pradeep Addagadde Venkataramana ◽  
Rajshekar Rajshekar ◽  
Shruthi Amalagondhi Manjunatha
Keyword(s):  
Drug Therapy ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Multidrug Therapy ◽  
Cross Sectional ◽  
Female Ratio ◽  
Ocular Manifestations ◽  
Need To Evaluate ◽  
Leprosy Patients

BACKGROUND Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae. Several ocular manifestations occur before and during multi drug therapy (MDT) and they can continue to occur even after the completion in bacteriologically cured patients. Blindness is a catastrophic event that can occur by several mechanisms at any stage. We need to learn and recognise the early signs and symptoms of ocular complications, so that we can treat the patient early. We need to evaluate the pattern of ocular manifestation in leprosy patients on MDT (Multi Drug Therapy). METHODS A cross-sectional study was conducted over a duration of six months on diagnosed cases of leprosy and those cured from leprosy. Data was collected by clinical history with slit lamp examination, fundus examination, and laboratory investigation. RESULTS Total 30 patients were included in the study in which 13 patients were on MDT, 7 newly detected cases and 10 treated cases. 22 were males and 8 were females with male - female ratio of 2.75:1. Average age of presentation was 46 years with range from 18 - 80 years. 56 % had ocular manifestations in this study. Ocular lesions were more in cases who had leprosy for ≥ 16 years. Visual acuity ranged from 6 / 6 to PL + ve. Lagophthalmos was noted in 4 cases, cataract in 6 cases, exposure keratitis in 2, chalky white deposits on cornea in 2, spheroidal degeneration in 2, iris atrophy in 2, and pterygium in 2 cases. CONCLUSIONS Patients who completed treatment for MDT require periodic monitoring to detect ocular morbidity early and to prevent visual loss. KEYWORDS Leprosy, Multidrug Therapy, Exposure Keratitis, Lagophthalmos

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